Northwest

Classic Boat Club Membership Application Form

Please Print and Mail This Form to Address Listed Below

Name____________________________________________________

Spouse/Partner/Children Under 18 ________________________________________________

Mailing Address_________________________________________________

City, State, Zip__________________________________________________

E-Mail Address________________________Forum Handle Used______________________

Telephone, Home_______________________Cell Number_____________________

Boats Owned: _________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

ANNUAL DUES ARE $35.00 PER FAMILY (INCLUDING CHILDREN UNDER 18).

AMOUNT ENCLOSED: $_________________________________ DATE: ___________________________________

Northwest Classic Boat Club 17705 40th Ave NW Stanwood WA 98292